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CHARLES T. POLIS, JR., M.D., P.A. - Florida Company Profile

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Company Details

Entity Name: CHARLES T. POLIS, JR., M.D., P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 01 Nov 1976 (49 years ago)
Date of dissolution: 25 Sep 2015 (10 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 25 Sep 2015 (10 years ago)
Document Number: 517406
FEI/EIN Number 591710008
Address: 1410 59TH ST. W., BRADENTON, FL, 34209
Mail Address: 1410 59TH ST. W., BRADENTON, FL, 34209
ZIP code: 34209
City: Bradenton
County: Manatee
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
POLIS JR CHARLES T President 1410 59TH ST. WEST, BRADENTON, FL, 34209
POLIS JR CHARLES T Director 1410 59TH ST. WEST, BRADENTON, FL, 34209
FISCELLA KENNETH R Vice President 1410 59TH STREET WEST, BRADENTON, FL, 34209
POLIS, JR. CHARLES T Agent 1410 59TH ST. WEST, BRADENTON, FL, 34209

National Provider Identifier

NPI Number:
1316912132

Authorized Person:

Name:
CHARLES T POLIS JR.
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
208800000X - Urology Physician
Is Primary:
Yes

Contacts:

Fax:
9417948017

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2015-09-25 - -
REGISTERED AGENT NAME CHANGED 2011-01-20 POLIS, JR., CHARLES TJR. -
REGISTERED AGENT ADDRESS CHANGED 2009-03-28 1410 59TH ST. WEST, BRADENTON, FL 34209 -
CHANGE OF PRINCIPAL ADDRESS 1991-02-06 1410 59TH ST. W., BRADENTON, FL 34209 -
CHANGE OF MAILING ADDRESS 1991-02-06 1410 59TH ST. W., BRADENTON, FL 34209 -

Documents

Name Date
ANNUAL REPORT 2014-01-09
ANNUAL REPORT 2013-03-28
ANNUAL REPORT 2012-01-03
ANNUAL REPORT 2011-01-20
ANNUAL REPORT 2010-01-18
ANNUAL REPORT 2009-03-28
ANNUAL REPORT 2008-03-19
ANNUAL REPORT 2007-03-26
ANNUAL REPORT 2006-03-31
ANNUAL REPORT 2005-03-19

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Date of last update: 02 Aug 2025

Sources: Florida Department of State